Healthcare Provider Details

I. General information

NPI: 1932886884
Provider Name (Legal Business Name): LISA VOLKIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10818 PARALLEL PKWY
KANSAS CITY KS
66109-3649
US

IV. Provider business mailing address

4525 W 69TH ST
PRAIRIE VILLAGE KS
66208-2541
US

V. Phone/Fax

Practice location:
  • Phone: 913-299-8860
  • Fax:
Mailing address:
  • Phone: 215-880-9453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN070015
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD011886
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: